1. Home
  2. Directory
  3. New Hampshire
  4. Dover
  5. Internal Medicine
  6. NPI Profile

NIAZ MEMON M.D.
NPI 1386171312
Internal Medicine - Critical Care Medicine in Dover, NH

Active since May 22, 2017PECOS EnrolledAccepts Medicare Assignment
801 CENTRAL AVE STE 1, DOVER, NH 03820(603) 740-9713 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2022, Jul 7, 2020, Jun 3, 2020 and 2 more (5 updates tracked since 2017).

About Niaz Memon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIAZ MEMON M.D. (NPI 1386171312) is an individual critical care medicine provider in Dover, New Hampshire, licensed in New Hampshire (22060) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Wentworth-douglass Hospital, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1386171312
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameNIAZ MEMONCredential: M.D.
Location Address801 CENTRAL AVE STE 1Dover, NH 03820-2529
Mailing AddressPo Box 412503Boston, MA 02241-2503 · (617) 726-3884
Phone(603) 740-9713
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 22, 2017
Last NPPES UpdateOctober 17, 20225 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1386171312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NH · 22060
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2020018960 (MO)
801 CENTRAL AVE STE 1, Dover, NH 03820
Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 S New Ballas Rd Ste 7020Saint Louis, MO 63141-8218 · Phone (314) 251-6486 · Fax (314) 251-4155

Other Identifiers 1

Medicaid3135647NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niaz Memon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406287101
PECOS Enrollment IDI20220728002975
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
74 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
63 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALANNA DAWN SANDERS APRN
Nurse Practitioner (Acute Care)
801 CENTRAL AVE STE 1
DOVER, NH 03820
Strafford County (603) 740-9713
CHERIE HENDRICKSON PA
Physician Assistant
801 CENTRAL AVE STE 1
DOVER, NH 03820
Strafford County (603) 740-9713
DR. POLINA INKOULOVA MD
Internal Medicine (Critical Care Medicine)
801 CENTRAL AVE STE 1
DOVER, NH 03820
Strafford County (603) 740-9713
DR. DAVID MARK REEVES M.D.
Internal Medicine (Pulmonary Disease)
801 CENTRAL AVE STE 1
DOVER, NH 03820
Strafford County (603) 740-9713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Niaz Memon's NPI number?

The NPI number for Niaz Memon is 1386171312. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Niaz Memon located?

Niaz Memon practices at 801 Central Ave Ste 1, Dover, NH 03820. The listed phone number is (603) 740-9713.

What is Niaz Memon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Niaz Memon enrolled in Medicare?

Yes. Niaz Memon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Niaz Memon accept?

Health plans from WellSense Health Plan list Niaz Memon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Niaz Memon affiliated with any hospitals?

According to CMS data, Niaz Memon is affiliated with Wentworth-Douglass Hospital and Huggins Hospital.

When was this NPI record last updated?

The NPPES record for Niaz Memon was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.